Active NPI
JS Management, LLC
Doing business as St. Michael's Home Health
- Home Health Agency
- Gretna, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1250
- Legal business name
- JS MANAGEMENT, LLC
- Doing business as
- St. Michael's Home Health
- Practice address
- 332 Amelia St
Gretna, LA 70053-5323 - Phone
- (504) 322-4525
- Fax
- (985) 257-2755
- NPI assigned
- May 23, 2015
- Last updated
- Oct 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kelli S. Vedros, RN
- Title
- Don/Administrator
- Phone
- (504) 239-4989
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1250 | LA | Primary |
Addresses
Primary practice location
332 Amelia St
Gretna, LA 70053-5323
Mailing address
332 Amelia St
Gretna, LA 70053-5323
Phone (504) 322-4525
Other names 1
- St. Michael's Home Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160121001238 | LA | Part A Provider - Home Health Agency | 3375859333 | Practice locations: Gretna, LA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1538548508. Details of each certification follow.
Home health agency certification: CCN 197793
- Legal name
- JS MANAGEMENT LLC
- Doing business as
- ST MICHAEL'S HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 6, 2017
- Last certification
- Dec 6, 2017
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Dec 17, 2014 in LA
- Enrollment address
- 332 Amelia St
Gretna, LA 70053-5323
Care Compare: Home health agency
Medicare Care Compare- Listed as
- St Michael's Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Dec 6, 2017
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2096771 | St Michael's Home Health | Certificate of waiver | May 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
505 Amelia St
Ste B
Gretna, LA 70053
630 4th St
Ste B
Gretna, LA 70053
Phone (504) 239-0206
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kelli S Vedros | 5% Or Greater Direct Ownership Interest | Apr 2, 2018 | 50% |
| Corporate Director | Apr 2, 2018 | 50% | |
| Operational/Managerial Control | Apr 2, 2018 | ||
| Dolores Jambon | 5% Or Greater Direct Ownership Interest | Apr 2, 2018 | 50% |
| Corporate Director | Apr 2, 2018 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603411200000",
"number": "1538548508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 AMELIA ST",
"city": "GRETNA",
"state": "LA",
"postal_code": "700535323",
"telephone_number": "504-322-4525",
"fax_number": "985-257-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 AMELIA ST",
"city": "GRETNA",
"state": "LA",
"postal_code": "700535323",
"telephone_number": "504-322-4525",
"fax_number": "985-257-2755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JS MANAGEMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-23",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A",
"authorized_official_last_name": "VEDROS",
"authorized_official_first_name": "KELLI",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "DON/ADMINISTRATOR",
"authorized_official_telephone_number": "504-239-4989",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "LA",
"license": "1250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Michael's Home Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "St. Michael's Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.